Organization
BOSS URGENT CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA L BUCK (OFFICE MANAGER)
(910) 577-1555
Entity
Organization
Contact information
Practice address
325 WESTERN BLVD, JACKSONVILLE, NC 28546-6341
(910) 577-1555
(910) 577-1591
Mailing address
PO BOX 579, FUQUAY VARINA, NC 27526-0579
(910) 577-1555
(910) 577-1591
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497080220
GROUP NPI
NC
Enumeration date
11/12/2009
Last updated
11/12/2009
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